Calvary Chapel Coastlands - NJ

You shall teach them diligently to your children, and shall talk of them
when you sit in your house, when you walk by the way, when you lie down, and when you rise up.

Deuteronomy 6:7

ANY QUESTIONS PLEASE EMAIL HOMESCHOOL@CCCOASTLANDS.ORG

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Cell Phone Number

Child's Full Name

Child's Birthdate

AGE GROUP (Check One)

3-5 yrs. Fall: 12 Weeks - Primary / Spring: 12 Weeks - Primary

6-9 yrs. Fall: 12 Weeks - Anatomy & Classic Children's Literature / Spring: 12 Weeks - Geography & Cultural Craft

10-12 yrs. Fall: 12 Weeks - Anatomy & Bibliodrama / Spring: 12 Weeks - Geography & Cultural Craft

13 yrs. & up. FULL YEAR: 24 Weeks - Biology / Fall: 12 Weeks Social Science / Spring: 12 Weeks - Media Technology

PAYMENT OPTIONS (Check One) - Deadline July 15, 2024

Registration Fees & Enrollment Fees payment in full upon Registration

Installments: $75 Registration Fee + 50% Enrollment Fees due at Registration / Enrollment Fee Balance Due August 1st

PAYMENT METHOD (Check One)

CASH

CREDIT/DEBIT CARD (Plus additional processing fees)

CHECK (Make payable to Calvary Chapel Coastlands / Memo: CHSM) - Mail Check Payments to: 178 Main St., Eatontown, NJ 07724

HSLDA Code: A discount is given to new HSLDA registrants for CHSM Families. Discount code given upon CHSM enrollment.

TOTAL ANNUAL COST

Registation & Tuition

Please check this box to confirm:

We have thoroughly read all information concerning CHSM on this website and we are in agreement.

office@cccoastlands.org

178 Main Street
Eatontown, NJ 07724